Attempt: W.C. is a 22 year old female presents with c/o vaginal itching and discharge x5 days. She reports symptoms starting shortly after using a new bath bomb 5 days ago. She describes the itching as bothersome and persistent and the discharge as thick and white in color. She denies dysuria or polyuria. Patient states she does not use protection with her husband, but they are monogamous. She has an IUD in place. Patient has finished a course of OTC miconazole without relief. PE shows labia major and minor erythematous with mild excoriation without ulcerations. Vaginal walls mildly erythematous with white, thick, adherent nonodroours discharge. Cervical os pink and smooth without discharge or bleeding. Strings visible at os and in fault.
Attempt: W.C., 22yo female, comes into the clinic today complaining of vaginal itching and discharge. Symptoms started 5 days ago after taking a bath with new bath bomb product. Discharge is white, thick, minimal amount, with no odor. Patient states she is in a monogamous relationship with her husband, they do not use condoms. Last pap smear and STD testing was 2 years ago which was negative. Denies dysuria, hematuria, or difficulty with urination. Up to date on immunizations, no significant past medical or surgical history. IUD present. Patient tried OTC miconazole for treat symptoms with no relief. Physical assessment positive for erythematous labia majora and minora. Internal vaginal exam white thick, non-odorous discharge noted. All other systems negative.